There has been a fair amount of coverage on the documentation requirements needed to assign ICD-10-CM diagnosis codes. While changes in documentation requirements for pregnancy, coma, diabetes, fractures, and pressure ulcers are frequently cited, less information is available regarding the documentation requirements for procedures.
Editor's note: Andrea Clark-Rubinowitz, RHIA, CCS, CPCH, has more than 30 years of experience working with healthcare professionals, information systems, hospital coding, and operational and compliance training. She founded and led Healthcare Revenue Assurance Associates from 2001 to 2014. Contact her at 954-465-0968 or aclark5678@gmail.com.
A team of researchers may have uncovered what many involved in the transition to ICD-10 have feared all along: Disruption of data and financials is on the horizon.
As the largest organ in the body, the skin is subject to a number of diseases and conditions. With ICD-10-CM, coders will report these conditions with a much higher degree of specificity.